Individual provider · Type 1 NPI
Samantha Conklin, FNP-C
Primary Care Nurse Practitioner · Syracuse, NY
NPI number
1114761053
Active
Practice location
930 S Salina St
Syracuse, NY 13202-3530
Mailing address
819 S Salina St
Syracuse, NY 13202-3570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F352051-01 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1114761053
Samantha Conklin, FNP-C's National Provider Identifier is 1114761053, issued on Jun 25, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Syracuse, NY. The record was last updated on Jun 26, 2024.